Hysterectomy for regulation of menses in a patient with Down’s syndromeThe management of menstrual problems in patients with mental retardation has ethical and legal implications. In the light of “beneficence” and “non-maleficence”, one has to take a stepwise approach. The treatment should be as minimally invasive as possible. The need for contraception, prevention of sexually transmitted diseases, and the desire to have a child, should also be taken into consideration. The right of patient autonomy implies a maximal participation of the patient into the proposed treatment.